GI meds

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Author:
rodghawk
ID:
194216
Filename:
GI meds
Updated:
2013-01-21 13:36:26
Tags:
NCLEX
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Description:
NCLEX
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  1. names of H2 blockers (2)
    zantac

    tagamet
  2. MOA of H2 blockers and effect
    inhibit histamine action on H2 receptors in gastric cells

    reduces secretion of gastric acid
  3. uses for H2 blockers (4)
    prevent and tx of gastric and duodenal ulcers

    heart burn

    acid indigestion

    GERD
  4. SE of H2 blockers (3)
    diarrhea

    confusion

    growth of bateria in stomach (r/t dec. in stomach acid production) --> inc. risk for pneumonia
  5. patient teaching for H2 blockers (4)
    avoid alcohol

    smoking may decrease effectiveness

    s/s of gastric bleeding and notify MD if it occurs

    notify MD of any respiratory problems
  6. uses for Reglan (3)
    antiemetic

    suppresses gastroparesis (accelerates intestinal transit and gastric emptying)

    suppresses GERD
  7. SE of reglan (3)
    drowsiness/fatigue

    restlessness

    extrapyramidal symptoms
  8. nursing implications for reglan (4)
    monitor for anxiety, restlessness, extrapyramidal sx

    assess hydration status

    monitor bowel fx

    give 30 min before meal and at bedtime for gastroparesis
  9. name of proton pump inhibitors (4)
    Prilosec

    Nexium

    Prevacid

    Protonix
  10. MOA of proton pump inhibitors
    suppresses secretion of gastric acid
  11. patient teaching for proton pump inhibitors (3)
    avoid chewing or crushing capsules

    take before meals

    maintain adequate calcium and Vit D intake

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